MEDICARE: THE FAMILY CONSERVANCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1336255173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FAMILY CONSERVANCY

Provider Business Mailing Address
First Line	:	444 MINNESOTA AVENUE
Second Line	:	SUITE 200
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2806
Country	:	US
Telephone Number	:	913-342-1110
Fax Number	:	913-342-3632

Provider Business Practice Location Address
First Line	:	626 MINNESOTA AVENUE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2806
Country	:	US
Telephone Number	:	913-342-1110
Fax Number	:	913-342-3632

Authorized Official
Title or Position	:	CEO & PRESIDENT
Name	:	MRS. BETSY ROBINSON VANDERVELDE
Credential	:	MSW, MBA
Telephone Number	:	913-342-1110

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	09/04/2012

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Directions to “THE FAMILY CONSERVANCY ” Practice Location

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